Name

*"Have you worked for this company under a different name?"
*"Have you ever been convicted of a crime under another name?"
*Names of applicant's relatives all ready employed by this company

Address or Duration of Residence

*Applicant's place of residence
*How long applicant has been resident of this state or city

Birthplace

Age

*"Can you, after employment, submit a work permit if under eighteen?" "Are you over eighteen years of age?" "If hired, can you furnish proof of age?"/or/Statement that hire is subject to verification that applicant's age meets legal requirements
*Name and address of parent or guardian if applicant is a minor

Religion

Work Days and Shifts

Statement by employer of regular days, hours, or shift to be worked

Race or Color

Photograph

*Statement that photograph may be required after employment

Citizenship

*Statement by employer that if hired, applicant may be required to submit proof of authorization to work in the US

National Origin or Ancestry

*Languages applicant reads, speaks, or writes fluently

Education

*Applicant's academic, vocational, or professional education, schools attended

Experience

*Applicant's work experience
*Applicant's military experience in armed forces of United

Character

*"Have you ever been convicted of any crime" Where, and disposition of case?"

Relatives

Notice in Case of Emergency

*Name and address of person to be notified in case of accident or emergency

Organizations

*Organizations, clubs, professional societies, or other associations of which applicant is a member, excluding any names the character of which indicate the race, religious creed, color, natural origin, or ancestry of its members

Sex/Sexual Orientation

Physical Condition

*"Can you perform all of the duties outlined in the job description?"
Statement by employer that all job offers are contingent on passing a physical examination

Miscellaneous

*Notice to applicant that any misstatements or omissions of material facts in his application may be cause for dismissal